[The practice of telemedicine by French internal medicine physicians in 2019].

Autor: Firn S; CHRU-Nancy, Département de médecine interne etimmunologie clinique-BPC, Université de Lorraine, 54511 Vandœuvre-Lès-Nancy cedex, France., Galland J; Service de médecine interne, Hôpital Lariboisière, Assistance publique-Hôpitaux de Paris, 75010 Paris, France; Université Paris Diderot, 75013 Paris, France., Rousseau H; DRCI, Département MPI, unité de Méthodologie, Data management et Statistique, Université de Lorraine, CHRU-Nancy, 54511 Vandœuvre-Lès-Nancy cedex, France., Andres E; Service de médecine interne, diabète et maladies métaboliques, clinique médicale B, CHRU de Strasbourg, 67091 Strasbourg, et Université de Strasbourg-faculté de Médecine, 67085 Strasbourg cedex, France., Salles N; Service de Gériatrie, CHU de Bordeaux, 33604 Pessac cedex et Université Bordeaux II-faculté de médecine, 33076 Bordeaux cedex, France; Société Française de Santé Digitale, Paris, France., Disdier P; Département de Médecine Interne, hôpital de la Timone, AP-HM, 13005 Marseille, France; Aix-Marseille Université, faculté des sciences médicales et paramédicales, 13385 Marseille Cedex 5, France., Azzi J; Service de Gériatrie, CHRU de Nancy, 54511 Vandœuvre-Lès-Nancy cedex, France., Baumann C; DRCI, Département MPI, unité de Méthodologie, Data management et Statistique, Université de Lorraine, CHRU-Nancy, 54511 Vandœuvre-Lès-Nancy cedex, France., de Korwin JD; CHRU-Nancy, Département de médecine interne etimmunologie clinique-BPC, Université de Lorraine, 54511 Vandœuvre-Lès-Nancy cedex, France. Electronic address: jd.dekorwin@chru-nancy.fr.
Jazyk: francouzština
Zdroj: La Revue de medecine interne [Rev Med Interne] 2021 Aug; Vol. 42 (8), pp. 523-534. Date of Electronic Publication: 2021 Mar 11.
DOI: 10.1016/j.revmed.2021.02.011
Abstrakt: Introduction: Telemedicine has been developing in France since 2018. The objective of this survey was to assess the knowledge, attitudes, practices and training of internal physicians regarding telemedicine.
Material and Methods: A national descriptive observational study carried out between July and October 2019, via an online self-questionnaire with members of the National Society of Internal Medicine and the Association of Young Internists, included a descriptive and comparative analysis by subgroups of age.
Results: Analysis of 309 responses from physicians qualified in internal medicine or practicing in an internal medicine service (61,8%) and residents in internal medicine (38%) showed that 34.6% had notions or a good knowledge of regulation of telemedicine. For 62,1%, 72.5% and 74.1% respectively, it could improve patient care, access to care and exchanges between internists and other doctors. The main obstacles to this practice were the absence of face-to-face with the patient (57.3%) and computer dysfunctions (55%). Only 23.3% practiced it, including 88.9% tele-expertise. Telemedicine was performed informally (telephone and email) in 70.8% of the cases. Doctors over the age of 50 were better acquainted with the regulations and more practiced official telemedicine. In total, 54% wanted to practice telemedicine and 72.8% wanted to train there.
Conclusion: Attitudes towards telemedicine were positive, but few internists knew about it and practiced it formally, warranting appropriate training.
(Copyright © 2021 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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